Date: / / 201_ Institution name: _________________________________________________________________________ Order placed by: __________________________________ Phone: ( ) ________ - ______________ Enduser’s name: _________________________________ ) ________ - ______________ Phone: ( P.O. # ________________________________________ or Credit Card: VISA MasterCard AmEx Credit Card # _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Exp. Date: __ /__ Name on credit card:______________________________________ Billing Zip Code : _ _ _ _ _ -_ _ _ _ Security code ______ (Green=X1D2: FITC flow cytometry/fluorescein microscopy filter; Red=X2D2: PE flow cytometry/rhodamine microscopy filter) Manufacturer’s Suggested U.S. Prices Catalog # Product Name Cytotoxicity Assays and Reagents PTL802-8 PanToxiLux™ (80 assays) PTL-P2D2-8 PanToxiLux™-P2D2 (80 assays) GTL702-8 GranToxiLux®–PLUS! (80 assays) TFL-2 Target Fluorescent Label-2 (100 assays) TFL-4 Target Fluorescent Label-4 (100 assays) NFL-1 Nuclear Fluorescent Label (100 assays) BTL-60 Cytotoxicity Assay Buffer (60 ml) TCM-1L Effector Cell Growth Medium (1 liter) (CTL602-8 CyToxiLux®–PLUS! (80 assays) Autophagy Substrates LC3R1G-8 ATG4B-LC3-G1D2 (80 assays) LC3R2G-8 ATG4B-LC3-G2D2 (80 assays) Apoptosis (Caspases Substrataes) A304R1G-8 PhiPhiLux®-G1D2 (80 assays) A304R1G-5 PhiPhiLux®-G1D2 (50 assays) A304R2G-8 PhiPhiLux®-G2D2 (80 assays) A304R2G-5 PhiPhiLux®-G2D2 (50 assays) CPL1R1E-5 CaspaLux®1-E1D2 (50 assays) CPL1R2E-5 CaspaLux®1-E2D2 (50 assays) CPL6R1J-5 CaspaLux®6-J1D2 (50 assays) CPL6R2J-5 CaspaLux®6-J2D2 (50 assays) CPL8R1L-5 CaspaLux®8-L1D2 (50 assays) CPL8R2L-5 CaspaLux®8-L2D2 (50 assays) CPL9R1M-5 CaspaLux®9-M1D2 (50 assays) CPL9R2M-5 CaspaLux®9-M2D2 (50 assays) Elastase Substrates E102R1G-6 ElastoLux®-G1D2 (80 assays) E102R2G-6 ElastoLux®-G2D2 (80 assays) β-Secretase/Cathepsin D CD102R1G-6 CaDiLux®-G1D2 (80 assays) CD102R2G-6 CaDiLux®-G2D2 (80 assays) Price _$_ Quantity $450 1 2 _____ _____ $495 1 2 _____ _____ $450 1 2 _____ _____ $125 1 2 _____ _____ $125 1 2 _____ _____ $125 1 2 _____ _____ $60 1 2 _____ _____ $125 1 2 _____ _____ Special order only, please call for pricing) $600 $600 1 1 2 2 _____ _____ _____ _____ $600 $400 $600 $400 $400 $400 $400 $400 $400 $400 $400 $400 1 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 2 _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ $600 $600 1 1 2 2 _____ _____ _____ _____ $600 $600 1 1 2 2 _____ _____ _____ _____ Plus shipping and handling fee for up to 2 kits: US: second day delivery; please inquire for cost of next day delivery International: 2 to 4 business days delivery For EU customers, please provide institution’s VAT number as duty and other taxes are the responsibility of the enduser Total order (Add MD State sales tax of 6% if applicable) $35 ca.$45-55 $_________ Payment by P.O.# from a foreign organization must be made with a check in U.S. dollars drawn on a bank located in the U.S. or by wire transfer. Payment in U.S. dollars drawn from a bank located outside the U.S. requires an additional fee of $50. Billing address: Shipping Address: ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ __________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ 207A Perry Parkway, Suite 6 Gaithersburg, MD 20877 V: 301-987-7881 F: 301-987-7882 [email protected] www.PhiPhiLux.com
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